| 老年单纯冠心病合并糖尿病患者冠状动脉病变严重程度及特点分析 |
| 投稿时间：2015-12-29 修订日期：2016-01-09 点此下载全文 |
| 引用本文：方钊,蒋学俊,陶波,刘浙波,王建铭.老年单纯冠心病合并糖尿病患者冠状动脉病变严重程度及特点分析[J].医学研究杂志,2016,45(8):52-54,58 |
| DOI：
10.11969/j.issn.1673-548X.2016.08.014 |
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| 基金项目:国家自然科学基金资助项目（81170307） |
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| 中文摘要:目的 探讨冠心病合并糖尿病患者冠状动脉严重程度。方法 冠心病患者238例，其中合并糖尿病患者119例（观察组），未合并糖尿病患者119例（对照组），比较两组一般临床资料、实验室检查结果、冠状动脉造影结果的差异。结果 两组患者一般临床资料、血脂水平比较，差异无统计学意义（P>0.05）；观察组患者冠状动脉3支病变发生率高于对照组（P=0.000）；两组冠状动脉两支/左主干病变发生率比例比较，差异无统计学意义（P>0.05）；冠状动脉单支病变发生率观察组低于对照组（P<0.05）；观察组患者左前降支、左回旋支及右冠状动脉狭窄比例较对照组更高（（P<0.05）；两组患者冠状动脉病变支数间差异无统计学意义（P>0.05），观察组反映病变严重程度的Gensini积分更高（P=0.000）。结论 冠心病合并糖尿病患者冠脉病变更严重。 |
| 中文关键词:冠心病 糖尿病 冠状动脉病变 |
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| Prediction of the Severity of Coronary Artery Lesion with Coronary Heart Disease Complicated with Diabetes Mellitus |
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| Abstract:Objective To predict the severity of coronary artery lesion with coronary heart disease (CHD) complicated with diabetes mellitus (DM). Methods Two hundred and thirty eight cases of coronary heart disease patients, including 119 patients with diabetes mellitus (study group), 119 cases without diabetes (control group) were combined.The clinical data, laboratory test results, the results of coronary angiographywere compared between two groups. Results There were no significant differences in clinical data or the lipid levels between two groups (P>0.05). The incidence of three branches lesion of coronary artery was higher (P=0.000).The incidence of two branches/left main coronary artery lesion had no significant difference (P>0.05).But the incidence of single vessel coronary artery disease in the observation group was lower than the control group (P<0.05). The observation group gained higher proportions of left anterior descending artery, the left circumflex artery and the right coronary artery stenosis as compared with the control group (P<0.05),which reflects that the severity of the observation group Gensini scores were higher (P=0.000).The Gensini scores were higher in the observation grou(P=0.000). Conclusion The coronary artery lesion is more severer in patients with CHD complicated with DM. |
| keywords:Coronary heart disease Diabetes mellitus Coronary artery lesion |
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